Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA explained the purpose of the visit to staff Estrella Joaquin. Administrator Jocelyn Manalo was explained the purpose of the visit telephonically. There are three (3) ambulatory developmentally disabled adults ages 18-59. The facility is licensed as a level 2 home vendored by San Gabriel/Pomona Regional Center. Twelve (12) Adult CARE tool domains were observed and reviewed.

Infection control practices and Personal Protective Equipment (PPEs) were observed. The facility encourages hand washing and self symptom check of staff and visitors. The facility has an Infection Control Plan and COVID-19 mitigation plan.

Facility is a single story home located in a residential area licensed for 4 [2 non-ambulatory & 2 ambulatory] residents. It consists of 4 bedrooms [bedroom #1 - (non-ambulatory; double), Bedroom #2 – private, Bedroom #3 – private, & Room #4 is a staff room], kitchen, living room, dining room, activity room, backyard, garage, and two (2) bathrooms were observed.

The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are no pools or large bodies of water. Smoke and carbon monoxide detectors were tested and are operational. The facility has two (2) fully charged fire extinguishers. Cleaning supplies and toxic substances are inaccessible to clients.

Water temperature readings measured between the required 105 - 120 degrees Fahrenheit.